| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.20 | $7.20 | $7.20 | |
Aetna
| Professional | $7.20 | $10.28 | $41.92 | |
Cigna
| Professional | $7.36 | $7.36 | $7.36 | |
Molina
| Professional | $14.68 | $20.64 | $60.00 | |
Regence BlueShield
| Professional | $10.02 | $12.62 | $12.62 | |
United
| Professional | $5.84 | $7.64 | $9.93 |